Sore throat: what helps and when to see a doctor
In short: most sore throats are caused by viruses, such as a cold or flu, and get better on their own within about a week. Antibiotics don't help these. See a doctor if it isn't getting better after a few days or you have signs of strep throat, and get help straight away if you have trouble breathing or swallowing.
What causes a sore throat
- Viruses, such as the ones that cause colds and flu. This is the most common cause.
- Strep throat, an infection with group A strep bacteria.
- Allergies.
- Smoke, from smoking or breathing in other people's smoke, which irritates the throat.
What helps
- Drink plenty of fluids. Warm drinks, such as tea, or cold water can both feel soothing.
- Gargle with warm salt water a few times a day.
- Suck on lozenges, hard sweets, ice chips or ice pops. Don't give lozenges or hard sweets to young children, who can choke on them.
- Use a clean humidifier or cool-mist vaporizer to ease dryness.
- Honey can ease a cough in adults and children aged 1 and over. Never give honey to a baby under 1.
- For pain relief, ask a pharmacist which over-the-counter medicine suits you, and follow the packet instructions.
Could it be strep throat?
Strep throat is most common in children aged 5 to 15, but adults get it too, especially parents and people who look after children. Signs include:
- A sore throat that starts quickly, with pain when swallowing
- Fever
- Red, swollen tonsils, sometimes with white patches
- Tiny red spots on the roof of the mouth
- Swollen glands at the front of the neck
A cough, runny nose, hoarse voice or pink eye point more to a virus. Only a quick test at a doctor's office or clinic can tell whether it's strep. If it is, a doctor will prescribe antibiotics.
When to see a doctor
- Your sore throat isn't getting better after a few days, or is getting worse
- You have signs of strep throat
- You have a high fever, a rash, or swollen, painful joints
- You have signs of dehydration, such as passing very little urine
- You keep getting sore throats
Get medical help straight away if you have trouble breathing or swallowing, blood in your saliva or phlegm, or a young child is drooling much more than usual. If someone is struggling to breathe, call 911 or your local emergency number.
Sources
- CDC: Sore throat basics
- CDC: About strep throat
- MedlinePlus: Sore throat